Individual
TERRY T BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 E WILLIAMS AVE, FALLON, NV 89406-3052
(775) 423-3151
Mailing address
PO BOX 32364, KNOXVILLE, TN 37930-2364
(800) 343-2599
(865) 531-2722
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
14089
NV
2085R0202X
Diagnostic Radiology Physician
38325
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000370919
ANTHEM
KY
05
—
200531630
—
IN
05
—
64110067
—
KY
01
—
P00269674
RAILROAD MEDICARE
KY
Enumeration date
11/07/2005
Last updated
11/08/2011
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